DR Marie Fox PLC
DR Marie Fox PLC was paid $2K by Medicaid between Oct 2018 and Aug 2020, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.
33Billing provider infoDR MARIE FOX PLC
PORTAGE, MI 49024
PORTAGE, MI 49024
33aNPI1568758209assigned 06/21/2011
33bProvider typeOptometrist
28Total paid$2K
24GClaims69
24DCodes billed3
24AFirst – last monthOct 2018 – Aug 2020
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#413 of 497
Median peer was paid$21K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $240.12 | |
| 2019 | 13 | $144.17 | |
| 2020 | 44 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 60% | 14 | 14 | $1K |
| 92015 | Determination of refractive state | 27% | 43 | 43 | $482.87 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 12 | 12 | $240.12 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialFOX, MARIE (OWNER/OPTOMETRIST)